Individual
REBECCA GAYLE TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SR. LPE
Contact information
Practice address
116 N 2ND ST, SUITE B11, CLARKSVILLE, TN 37040-3478
(931) 551-4640
(931) 551-4641
Mailing address
PO BOX 4008, CLARKSVILLE, TN 37043-0008
(931) 551-4640
(931) 551-4641
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11632
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520228
—
TN
Enumeration date
08/26/2008
Last updated
01/13/2012
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